How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $891.25 | Facility | None | $426.58 | $426.58 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $467.74 | Professional | None (both parts) | $316.23 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $63.10 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $524.81 Median $588.84 Typical High $691.83 | Professional | None (both parts) | $524.81 | $588.84 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,288.25 | Facility | None | $478.63 | $1,023.29 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $112.20 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $562.34 | Professional | TC · Technical part | $223.87 | $281.84 | $562.34 |
Where Kentucky sits
The same service costs 21.9 times more in Oklahoma than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 31st of 51
$525
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.